Doctor Name: | MS. KARRI JO MITCHELL |
NPI Number: | 1346514403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N. |
License Number: | A03642 |
Business Practice Address: | 1012b E 22nd St Stuttgart, AR - 721606825 |
Business Phone Number: | 8706720911 |
Business Fax Number: | 8706720914 |
Mailing Address: | 59 Allen Watkins Ln, DE WITT |
State: | AR |
Postal Code: | 720429506 |
Phone Number: | 8709462668 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2012 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |